NFJ-19863-58151
4 vaccinations
2 coded responses
28 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-18
- 2021-01-25
-
2021-01-29
Dose 2 — Moderna
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Fatigue, Headache, Pyrexia — Feeling: Good · Site: PainFree text: Fever, fatigue, joint pains and headache from 1/29-1/31MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-28
- 2021-03-05
-
2021-05-02
Survey response — 3 months, dose 2MedDRA: Bronchitis — Feeling: FairFree text: BronchitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-01
-
2021-11-19
Dose 3 — Moderna
- 2022-01-29
-
2022-09-30
Dose 4 — Moderna
- 2022-10-03
- 2022-10-06
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-06
- 2022-11-11
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fever, fatigue, joint pains and headache from 1/29-1/31
Release 8 — 3 months, dose 2
Symptoms: Bronchitis
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release